Evidence map›Paper›PMID 27941109›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

Assessing Acceptability of a Diagnostic and Malaria Treatment Package Delivered by Community Health Workers in Malaria-Endemic Settings of Burkina Faso, Nigeria, and Uganda.

Ayodele S Jegede, Frederick O Oshiname, Armande K Sanou, Jesca Nsungwa-Sabiiti, IkeOluwapo O Ajayi, Mohamadou Siribié, Chinenye Afonne, Luc Sermé, Catherine O Falade

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Quantifying and Valuing Community Health Worker Time in Improving Access to Malaria Diagnosis and Treatment.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Trial
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  12. Feasibility of Malaria Diagnosis and Management in Burkina Faso, Nigeria, and Uganda: A Community-Based Observational Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Observational
  13. Impact of Improving Community-Based Access to Malaria Diagnosis and Treatment on Household Costs.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ayodele S JegedeDepartment of Sociology, Faculty of the Social Sciences.
Frederick O OshinameDepartment of Health Promotion and Education, Faculty of Public Health.
Armande K SanouGroupe de Recherche Action en Santé, Ouagadougou, Burkina Faso.
Jesca Nsungwa-SabiitiChild Health Division, Ministry of Health, Kampala, Uganda.
IkeOluwapo O AjayiDepartment of Epidemiology and Medical Statistics.
Mohamadou SiribiéGroupe de Recherche Action en Santé, Ouagadougou, Burkina Faso.
Chinenye AfonneEpidemiology and Biostatistics Research Unit, Institute of Advanced Medical Research and Training.
Luc SerméChild Health Division, Ministry of Health, Kampala, Uganda.
Catherine O FaladeDepartment of Pharmacology and Therapeutics, College of Medicine, University of Ibadan, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of artemisinin-based combination therapy (ACT) and rectal artesunate for severe malaria in children is proven. However, acceptability of a package of interventions that included use of malaria rapid diagnostic tests (RDTs), ACTs, and rectal artesunate when provided by community health workers (CHWs) is uncertain. This study assessed acceptability of use of CHWs for case management of malaria using RDTs, ACTs, and rectal artesunate.

methodsThe study was carried out in Burkina Faso, Nigeria, and Uganda in 2015 toward the end of an intervention using CHWs to provide diagnosis and treatment. Focus group discussions (FGDs) and key informant interviews (KIIs) were conducted with parents of sick children, community leaders, and health workers to understand whether they accepted the package for case management of malaria using CHWs. Transcripts from FGDs and KII recordings were analyzed using content analysis. The findings were described, interpreted, and reported in the form of narratives.

resultsTreatment of malaria using the CHWs was acceptable to caregivers and communities. The CHWs were perceived to be accessible, diligent, and effective. There were no physical, social, or cultural barriers to accessing the CHWs' services. Respondents were extremely positive about the intervention and were concerned that CHWs had limited financial and nonfinancial incentives that would reduce their motivation and willingness to continue.

conclusionsTreatment of malaria using CHWs was fully accepted. CHWs should be compensated, trained, and well supervised. CLINICAL TRIALS REGISTRATION: ISRCTN13858170.

Indexed as

AntimalarialsArtemisininsArtesunateBurkina FasoCommunity Health WorkersDiagnostic Tests, RoutineFemaleHumansMalariaMaleNigeriaUgandaAntimalarialsartemisininArtemisininsArtesunateacceptability of treatmentACTchild healthcommunity health workermalaria

Identifiers

PMID27941109
PMCPMC5146702

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.